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Novak Djokovic refused entry to America ahead of the US Open

<p>Novak Djokovic has confirmed he won't be competing in the US Open after he has been refused entry to America over his vaccination status. </p> <p>The Serbian tennis champ announced the news on Twitter, and wished his fellow players luck in the competition.</p> <p>"Sadly, I will not be able to travel to NY this time for US Open,' Djokovic tweeted Thursday ahead of the US Open draw.</p> <p>"Thank you #NoleFam for your messages of love and support. Good luck to my fellow players! I'll keep in good shape and positive spirit and wait for an opportunity to compete again. See you soon tennis world!"</p> <p>The three-time US Open winner had hoped to enter the tournament, provided the US government changed its policy for unvaccinated visitors.</p> <p>The US Tennis Association previously said it would adhere to such a change by allowing Djokovic to play if he were permitted in the US. </p> <p>After beating Nick Kyrgios in the Wimbledon final on July 10, Djokovic said he "would love" to participate in the last Grand Slam tournament of the year at Flushing Meadows, but he also acknowledged, "I'm not planning to get vaccinated."</p> <p>Djokovic had been updating his followers on social media as he attempted to gain entry to the US, but his hopes were dashed ahead of the draw.</p> <p>Officials did stress that he will be welcome to play at the US Open in 2023. </p> <p>"Novak is a great champion and it is very unfortunate that he will be unable to compete at the 2022 US Open, as he is unable to enter the country due to the federal government's vaccination policy for non-US citizens," tournament director Stacey Allaster said in a statement. </p> <p>"We look forward to welcoming Novak back at the 2023 US Open."</p> <p><em>Image credits: Getty Images</em></p>

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Unvaccinated Queensland school workers to face pay cut

<p dir="ltr">Roughly 900 Queensland school workers will have their pay reduced as disciplinary for being unvaccinated against Covid. This includes all teachers, teachers aides, administration staff, cleaners and school officers will be among those punished for failing to become vaccinated.</p> <p dir="ltr">The department claims that the penalties are being “individualised” based on the worker’s “circumstances”.</p> <p dir="ltr">“But generally, (penalties) involve a small-scale temporary reduction of one increment of pay for a period of 18 weeks,” the department said in a statement on Tuesday.</p> <p dir="ltr">The department claims the school workers have been ”non-compliant with the lawful direction from their employer enforcing the chief health officer’s direction to be vaccinated against COVID-19”.</p> <p dir="ltr">The penalties amount between $25 and $90 per week before tax. It claims reducing a worker’s pay is “not an uncommon” way to punish them for disciplinary breaches, and the move affects only 1% of the teacher workforce.</p> <p dir="ltr">“School staff were given ample opportunity to follow the lawful direction or provide evidence as to why they should be exempt from the direction since the vaccination requirements were announced in November 2021,” the statement read.</p> <p dir="ltr">The Queensland Teachers Union says of its 48,000 members, fewer than one per cent have “expressed concern” about being mandated to be vaccinated for COVID-19.</p> <p dir="ltr">“Statistically, state school educators lead the professional workforce in vaccine uptake, continuing the selfless, hard work QTU members have delivered through the pandemic,” the union said in a statement.</p> <p dir="ltr">Another union, the Teachers Professional Association of Queensland, has slammed the policy, labelling it “unconscionable”.</p> <p dir="ltr">“It’s unconscionable that imposing a financial penalty or any disciplinary measure would somehow be appropriate because these educators have not broken any law or engaged in serious misconduct in the workplace,” secretary Tracy Tully said.</p> <p dir="ltr"><em>Image: Getty</em></p>

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Controversy over unvaccinated teachers still on leave with full pay

<p>Hundreds of unvaccinated teachers remain on full time salaries as they ride out their “gardening leave”, with news on whether they will be allowed back in the classroom yet to be confirmed.</p> <p>Currently, there are a large number of educators on forced leave, causing widespread anger and frustration all across the teaching community as the strain on understaffed public schools reaches an all-time high.</p> <p>Whether teachers who failed to comply with vaccination mandates should be permitted back into schools at all has remained a matter of contention, with the vaccine mandate end date having passed in May 2022.</p> <p>The Education Department has retained the rule that requires all teachers to have at least two vaccines, but this could change next month following the completion of a “risk assessment”.</p> <p>The outcome of the risk assessment was not set to take effect until the beginning of Term 3 in mid-July, an anonymous teacher has shared.</p> <p>In the meantime, more than 330 teachers who chose not to comply with the vaccine mandate are being paid their full salary to complete “alternative duties” from home.</p> <p>Pay backdated to May the 13th has been funnelled into the stood-down teachers’ pockets, despite them not being “expected to undertake work during this time” – a directive included in an email.</p> <p>An anonymous teacher said he had been told to stay at home and take care of himself until the risk assessment, undertaken by the Education Department, was finalised.</p> <p>Just over 330 teachers had been subject to a Professional and Ethical Standards (PES) investigation for not complying with Covid-19 directives.</p> <p>The investigation had been halted however, while the Department carried out its assessment.</p> <p><em>Image: Getty</em></p>

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Another country makes it a crime to remain unvaccinated against COVID-19

<p><em>Image: Getty </em></p> <p>Austria has officially made vaccinations mandatory for its adult population. The controversial law was passed in the country’s parliament last month. It takes effect from next month, after which anyone who refuses to be vaccinated faces a criminal record and a fine of up to 3,600 euros (about A$5,500).<span class="Apple-converted-space"> </span></p> <p>The only exceptions are pregnant women and those who have a medical exemption.<span class="Apple-converted-space"> </span></p> <p>The country joins Ecuador, Tajikistan, Turkmenistan, Indonesia and Micronesia in making it a crime not to have a Covid-19 vaccination.</p> <h2>A ‘parliamentary democracy’</h2> <p>To date, there have been about 14,000 Covid-related deaths and 1.5 million cases in the country which has a total population of about 9 million. Austria describes itself a parliamentary democracy, and on the Government’s website this is defined as meaning:</p> <p>“…That everyone should be able to voice their opinion and defend their interests in a spirit of mutual respect. In Parliament this is done by the different parties, the rules governing legislation and parliamentary control.</p> <p>If decisions were only left to the majority, democracy would be in danger of being reduced to voting. In this case only those who know how to win a majority for themselves would be able to safeguard their interests.”</p> <p>But there are thousands of Austrians who oppose the new laws and who have been taking to the streets in protest.<span> </span>The Government has also introduced a lottery<span> </span>to ‘incentivise’ anyone wavering in their decision making or lagging in their efforts to be vaccinated against Covid-19. The prizes are vouchers worth 500 euro (about $750) to spend on recreational activities such as sporting events, restaurants, hotels, and shopping.<span class="Apple-converted-space"> </span></p> <h2>Paving the way to totalitarianism</h2> <p>About 72% of Austria’s population is already vaccinated. The country is in the middle of an outbreak (as are most countries right now, including those with high vaccination rates), recording its highest ever case numbers last week.<span class="Apple-converted-space"> </span></p> <p>Those who have still not had the jab and are opposed to mandatory vaccinations have expressed concerns that laws are not democratic and ignore ‘basic fundamental rights’. Others have expressed concerns about any potential long-term effect of vaccines which have not yet been fully researched and documented.<span class="Apple-converted-space"> </span><span class="Apple-converted-space"> </span></p> <p>The laws are the toughest yet in Europe.<span class="Apple-converted-space"> </span></p> <h2>Apathy and the ‘boiling frog’<span class="Apple-converted-space"> </span></h2> <p>The world looked on in astonishment when<span> </span>France introduced draconian vaccination mandates<span> </span>last year, refusing entry to shops and cafes, cinemas, restaurants, sports arenas<span class="Apple-converted-space"> <span> </span></span>and other venues for people who aren’t vaccinated, threatening those who broke the rules with fines of $10,000 eros and a prison term. The streets erupted in violent protest, yet the laws passed. Businesses have been suffering as a result.<span class="Apple-converted-space"> </span></p> <p>Many Australians too, have been guilty of looking at the experience of other countries and thinking, “that won’t happen here,” and yet it has, in various forms. We’ve had lockdowns and lockouts, ‘no jab, no job’ mandates, inter-state border closures, travel restrictions, curfews and<span> </span>very heavy-handed law enforcement.<span class="Apple-converted-space"> </span></p> <p>The economy has been decimated. Mental health problems are on the rise.<span class="Apple-converted-space"> </span></p> <p>There has, and continues to be, much condemnation of anyone who has protested against mandated health policies, or<span> </span>Government ‘coercion’, strict laws and<span> </span>extensive government powers<span> </span>in the past 18 months.<span class="Apple-converted-space"> </span></p> <p>There is deep social division and a lot of criticism hurled at those<span> </span>people who choose not to be vaccinated, with a narrative that continually perpetuates “anti-vaxxers” as “covid-deniers” which isn’t necessarily always the case, but which does provide a convenient way to shrug off any in-depth consideration for the over-reach of some of these ‘pandemic management’ tactics and the resulting slow erosion of human rights.<span class="Apple-converted-space"> </span></p> <h2>Health or Government control?<span class="Apple-converted-space"> </span></h2> <p>It’s incredulous to believe that democratic governments around the world, including our own, are<span> </span>taking such an authoritarian stance, particularly with regard to vaccines, and are by comparison, putting much less emphasis on or investment in treatments and cures for Covid-19.<span class="Apple-converted-space"> </span></p> <p>At some point, when the basic tenets of democracy are so seriously threatened, the question has to be asked whether or not the introduction of these laws is founded on a desire to swiftly and effectively manage a health crisis, or if they are about increasing Government power and control, under the guise of “for the greater good.”<span> </span><span class="Apple-converted-space"> </span></p> <p><span class="Apple-converted-space">This article originally appeared on <a href="https://www.sydneycriminallawyers.com.au/blog/another-country-makes-it-a-crime-not-to-have-a-covid-19-vaccine/">Sydney Criminal Lawyers</a>. </span></p>

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Unvaccinated singer dies after deliberately catching Covid

<p dir="ltr">The son of a well-known Czech singer who died after catching Covid has spoken out, warning others not to follow his mother’s example.</p> <p dir="ltr">Hana Horka, 57, was a member of Czech folk band Asonance, and had refused to get vaccinated against the virus. After her husband and son, Jan Rek, who are both vaccinated, contracted COVID-19 around Christmas, she refused to isolate from them, instead opting to deliberately contract the virus in order to obtain a Czech health pass, which allows access to public venues for those who can provide proof of vaccination or recent recovery from the virus. Venues such as cinemas, restaurants and bars are currently off-limits to the unvaccinated.</p> <p dir="ltr">Mr Rek told the<span> </span><em>BBC<span> </span></em>his mother died suddenly on Sunday after she had seemingly been on the mend. He said, “She should have isolated for a week because we tested positive. But she was with us the whole time. In about 10 minutes it was all over … She choked to death.</p> <p dir="ltr">“Her philosophy was that she was more OK with the idea of catching Covid than getting vaccinated.”</p> <p dir="ltr">He said that his mother would not listen to family members who tried to persuade her to get the vaccine, and said that he wanted to share his family’s story in an effort to convince others to take Covid seriously, saying, “If you have living examples from real life, it’s more powerful than just graphs and numbers. You can’t really sympathise with numbers.”</p> <p dir="ltr">He added that anti-vaxxers had “blood on their hands”, saying, “I know exactly who influenced her … It makes me sad that she believed strangers more than her proper family.</p> <p dir="ltr">“It wasn’t just total disinformation but also views on natural immunity and antibodies acquired through infection.”</p> <p dir="ltr"><em>Image: Facebook</em></p>

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Unvaccinated couple die of COVID within seconds of each other

<p dir="ltr">An unvaccinated American couple died of complications from COVID-19 “within seconds” of each other. William and Carol Stewart, of New Hampshire, died in hospital on December 30 while holding hands. They had not been vaccinated against the virus.</p> <p dir="ltr">Mrs Stewart, who was 69, had been on life support for two weeks, while Mr Stewart, 73, had suffered from lung and renal failures.</p> <p dir="ltr">The couple’s daughter, Melissa Noke, said that her parents were the “true definition of soulmates” and had known each other since they were children, telling local TV station WMUR, “They’ve known each other since they were four, been together 45 years, married 44 years.”</p> <p dir="ltr">On the day they died, hospital staff wheeled the couple into the same room so they could be together. Nike said, “Placed both beds side-by-side, placing my mother’s hand into my father’s hand.</p> <p dir="ltr">“As soon as they touched hands, my father took his last breath, and then my mother 10 seconds later.”</p> <p dir="ltr">Ms Noke said that she hoped sharing her parents’ story would encourage others to get vaccinated. At the time of writing, only 62.3% of the US population was fully vaccinated, with that figure increasing to 67.4% for New Hampshire.</p> <p dir="ltr">The couple’s nephew Tim Stewart has started a GoFundMe to help cover medical and living expenses. On the fundraising page, he explained, “Carol and Bill do not have life insurance and I am hoping to help my family by alleviating them with some the financial stress and so they can focus healing through this difficult time.”</p> <p dir="ltr">Updating the page with news of their passing, Stewart wrote, “It is with the heaviest of hearts to share that last night at 9:12 pm Bill and Carol peacefully passed away hand in hand with their loved ones bedside. They fought a long and hard battle with covid, both intubated and on life support. I truly believe that the power of prayers and all the kind words that have been shared over the past few weeks is what kept them fighting.”</p> <p dir="ltr"><em>Image: Douglas &amp; Johnson Funeral Home</em></p>

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Your unvaccinated friend is roughly 20 times more likely to give you COVID

<p>As lockdowns ease in New South Wales, Victoria and the ACT, and people return to work and socialising, many of us will be mixing more with others, even though a section of the community is still unvaccinated.</p> <p>Many vaccinated people are concerned about the prospect of mixing with unvaccinated people. This mixing might be travelling on trains or at the supermarket initially. But also at family gatherings, or, in NSW at least, at pubs and restaurants <a href="https://www.smh.com.au/national/nsw/nsw-records-787-new-covid-19-cases-and-12-deaths-20210927-p58v1e.html">when restrictions ease further</a>, slated for December 1.</p> <p>Some people are wondering, why would a vaccinated person care about the vaccine status of another person?</p> <p>Briefly, it’s because vaccines reduce the probability of getting infected, which reduces the probability of a vaccinated person infecting someone else. And, despite vaccination providing excellent protection against severe disease, a small proportion of vaccinated people still require ICU care. Therefore some vaccinated people may have a strong preference to mix primarily with other vaccinated people.</p> <p>But what exactly is the risk of catching COVID from someone who’s unvaccinated?</p> <h2>What’s the relative risk?</h2> <p>Recent reports from the Victorian Department of Health find that unvaccinated people <a href="https://www.skynews.com.au/australia-news/coronavirus/watch-live-vic-health-officials-to-provide-covid19-update/news-story/863cdc24d57dd787251a8ccff26b5ec5">are ten times more likely to contract COVID</a> than vaccinated people.</p> <p>We also know that vaccinated people are less likely to transmit the disease even if they become infected. The Doherty modelling from August <a href="https://www.doherty.edu.au/our-work/institute-themes/viral-infectious-diseases/covid-19/covid-19-modelling/modelling">puts the reduction at around 65%</a>, although more recent research has suggested a <a href="https://www.medrxiv.org/content/10.1101/2021.09.28.21264260v1">lower estimate for AstraZeneca</a>. Hence for this thought experiment, we’ll take a lower value of 50%.</p> <p>As the prevalence of COVID changes over time, it’s hard to estimate an absolute risk of exposure. So instead, we need to think about risks in a relative sense.</p> <p>If I were spending time with an unvaccinated person, then there’s some probability they’re infected and will infect me. However, if they were vaccinated, they’re ten times less likely to be infected and half as likely to infect me, following the numbers above.</p> <p>Hence we arrive at a 20-fold reduction in risk when hanging out with a vaccinated person compared to someone who’s not vaccinated.</p> <hr /> <p><img src="https://images.theconversation.com/files/428712/original/file-20211027-25-1jk3grg.png?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" alt="" /> <span class="caption"></span> <span class="attribution"><span class="source">The Conversation</span>, <a href="http://creativecommons.org/licenses/by-nd/4.0/" class="license">CC BY-ND</a></span></p> <p>The exact number depends on a range of factors, including the type of vaccine and time since vaccination. But, in Australia we can expect a large risk reduction when mixing with fully vaccinated people.</p> <p>The calculation holds true whether you yourself are vaccinated or not. But being vaccinated provides a ten-fold reduction for yourself, which is on top of the risk reduction that comes from people you’re mixing with being vaccinated.</p> <p>So, dining in an all-vaccinated restaurant and working in an all-vaccinated workplace presents a much lower infection risk to us as individuals, whether we are vaccinated or not. The risk reduction is around 20-fold, but as individuals, we need to consider whether that’s meaningful for our own circumstances, and for the circumstances of those we visit.</p> <p>There are also added complexities, in that there are three vaccine brands available, and eligibility is still limited to those aged 12 and older. Although, we do know kids are <a href="https://theconversation.com/why-do-kids-tend-to-have-milder-covid-this-new-study-gives-us-a-clue-155555">less susceptible and less likely to show symptoms</a>.</p> <p>However, as more information emerges, we can always update our estimates and think through the implications on the risk reduction.</p> <h2>What about people who can’t be vaccinated?</h2> <p>Some people haven’t been able to get vaccinated because they’re either too young or they have a medical exemption. Other people are immunocompromised and won’t get the same level of protection from two doses as the rest of the community.</p> <p>Increasing our coverage across the board will help protect those who aren’t fully protected by vaccination (whether that’s by eligibility, medical reasons or choice).</p> <p>Those at higher risk also enjoy the risk reduction if they’re able to mix primarily with vaccinated people.</p> <p>And other choices we make can help reduce the risk of transmission when vaccination is impossible, for example, wearing masks, washing hands carefully, and so on.</p> <h2>Do rapid antigen tests help?</h2> <p>Some people have proposed that frequent testing could be used to suppress COVID spread for those who are unwilling to be vaccinated.</p> <p>Health minister Greg Hunt said Australians can <a href="https://www.abc.net.au/news/2021-09-28/covid-19-rapid-antigen-home-tests-available-from-november/100496776">buy rapid antigen tests from November 1</a>, so they can test themselves at home or before entering certain venues.</p> <p>So how much does a rapid antigen test reduce risk to others?</p> <p>To answer that question we need to consider test sensitivity.</p> <p>Test sensitivity is the probability a rapid test will return a positive result, if the person is infected.</p> <p>It’s challenging to get an accurate estimate. But rapid antigen tests are about <a href="https://www.tga.gov.au/sites/default/files/covid-19-rapid-antigen-self-tests-are-approved-australia-ifu-352250.pdf">80% as sensitive as a PCR test</a>, which are the traditional COVID tests we do that get sent off to a lab. The PCR tests themselves are <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0251661">about 80% sensitive when it comes to identifying someone with COVID</a>.</p> <p>So, if you did a rapid antigen test at home, it’s about 64% likely to pick up that you’re positive, if you did have COVID.</p> <p>Therefore, rapid antigen tests can find about two-thirds of cases. If you’re going to a gathering where everyone has tested negative on a rapid antigen test, that’s a three-fold reduction in risk.</p> <p>Even though rapid tests provide a reduction in risk, they don’t replace vaccines.</p> <p>When used in conjunction with high levels of vaccination, rapid tests would provide improved protection for settings where we’re particularly keen to stop disease spread, such as <a href="https://www.theage.com.au/national/victoria/covid-scare-at-royal-children-s-as-victoria-records-1571-new-local-covid-19-cases-13-deaths-20211013-p58zh4.html">hospitals</a> and aged care facilities.</p> <p>Consequently, despite the high efficacy of COVID vaccines, there are still reasons a vaccinated person would prefer to mix with vaccinated people, and avoid mixing with unvaccinated people.</p> <p>This is particularly true for those at higher risk of severe disease, whether due to age or disability. Their baseline risk will be higher, so a 20-fold reduction in risk is more meaningful.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important; text-shadow: none !important;" src="https://counter.theconversation.com/content/170448/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><span><a href="https://theconversation.com/profiles/christopher-baker-1273208">Christopher Baker</a>, Research Fellow in Statistics for Biosecurity Risk, <em><a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em> and <a href="https://theconversation.com/profiles/andrew-robinson-422662">Andrew Robinson</a>, CEO of the Centre of Excellence for Biosecurity Risk Analysis, <em><a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></span></p> <p>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/your-unvaccinated-friend-is-roughly-20-times-more-likely-to-give-you-covid-170448">original article</a>.</p> <p><em>Image: Albert Perez/AAP</em></p>

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“We won’t stand for segregation”: Sydney cafe to support unvaccinated customers

<p dir="ltr">A Sydney café has made the <a rel="noopener" href="https://au.news.yahoo.com/sydney-cafes-bold-move-to-support-unvaccinated-customers-001318307.html" target="_blank">controversial decision</a> to stay open for takeaway only until unvaccinated customers can also dine inside.</p> <p dir="ltr">Anthony Milotic, the owner of Bare Wholefoods, shared an “open letter to the community” via Instagram, stating that he wants “everyone to feel welcome” in his café and “won’t stand for segregation”.</p> <p dir="ltr">“Right now the path out is unknown, but we do know one thing. We won’t stand for segregation. We are one, we are family!” Mr Milotic wrote.</p> <p dir="ltr">“I want everyone to feel welcome at all times and I will never put profit before people.”</p> <p dir="ltr">Mr Milotic said he is “choosing love, accepting differences and a community in unity is what we need right now”.</p> <blockquote style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" class="instagram-media" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/CT6h1HfldLU/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="13"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"></div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"></div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"></div> </div> </div> <div style="padding: 19% 0;"></div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"></div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" rel="noopener" href="https://www.instagram.com/p/CT6h1HfldLU/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank">A post shared by Bare Wholefoods (@bare.wholefoods)</a></p> </div> </blockquote> <p dir="ltr">“So we have chosen to continue to operate as takeaway only until everyone is free to dine-in,” he wrote.</p> <p dir="ltr">“We will always value family and hope that you feel the same.”</p> <p dir="ltr">Bare Wholefoods, which has venues on the North Shore and the Northern Beaches, shared the open letter last week to a flood of comments.</p> <p dir="ltr">Though many supported the decision, others argued that treating those who choose not to be vaccinated differently to vaccinated people isn’t segregation.</p> <p dir="ltr">“Segregation is a term that is used to describe separation from normal society a group of people that have inherent characteristics such as race or religion or sex. Being non-vaxxed is a decision, not an inherent characteristic,” one user wrote.</p> <p dir="ltr">“You insult all those people that have experienced true segregation for their whole life by suggesting that non-vaxxers are being segregated.</p> <p dir="ltr">“It’s a couple of weeks at the most until they are free to do their own thing and it’s to protect their own health. Seems like more of a publicity stunt than anything really meaningful.”</p> <p dir="ltr">The post comes as hospitality and retail venues across Greater Sydney will be able to reopen to fully-vaccinated customers in early October when 70 percent of the state is fully vaccinated.</p> <p dir="ltr">The state is expected to hit the milestone around October 11.</p> <p dir="ltr">Though some venues have said they are “open to all”, Bare Wholefoods have stated its continued closure until unvaccinated patrons can also dine in.</p> <p dir="ltr">Other venues have confirmed they will follow the suggestion from the NSW Government to only open to vaccinated customers.</p> <p dir="ltr">Ms Berejiklian believes the state will reach 70 and 80 percent vaccination rates in “two to three weeks”.</p> <p dir="ltr">“NSW will be the first state that in all likelihood hits 80 percent double dose, but there will also be a point in time after that where unvaccinated people will be able to participate in activities,” the premier said.</p> <p dir="ltr">“So that is the information we are providing this week to make very clear when those key milestones will occur.”</p> <p dir="ltr"><em>Image: bare.wholefoods / Instagram</em></p>

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Can I be refused entry to a premises if i am unvaccinated?

<p>NSW Premier Gladys Berejiklian<span> recently </span><span>announced </span>that once 70% of residents in the state have both doses of a COVID-19 vaccination, certain ‘freedoms’ will be handed back to them– including travelling intrastate and attending restaurants, bars, weddings, funerals, gyms, sporting events and theatres, subject to physical distancing and capacity limits.</p> <p>The Premier made clear that these liberties would not be available to those who have not received both doses of a COVID-19 vaccination.</p> <p>Many are of the view that while both Prime Minister Scott Morrison and Ms Berejiklian<span> </span>claim that COVID-19 vaccines are voluntary, the fact that many cannot without vaccination continue with their employment, or will soon be prohibited from certain liberties enjoyed by the vaccinated, means that in practical terms,<span> </span>being vaccinated is compulsory for anyone who wishes to live a semi-normal life.</p> <p> </p> <p><strong>Public Health Orders</strong></p> <p>The prohibitions in our state which purport to protect residents against the spread of COVID-19 are primarily made under the<span> </span>Public Health Act 2010<span> </span>(NSW).</p> <p>The Act empowers state officials to make a range of enforceable directions and orders with a view to dealing with public health risks, and the discriminatory prohibitions proposed by Ms Berejiklian will be decreed under the provisions of this piece of legislation.</p> <p>The power to deal with health risks is contained in section 7 of the Act, which provides that where the health minister considers on reasonable grounds that a situation has arisen that is, or is likely to be, a risk to public health, the minister may take such action or give such directions that are necessary to deal with the risk and its possible consequences.</p> <p>The section makes clear that actions and orders can be made in order to:</p> <ul> <li>Reduce or remove any risk,</li> <li>Segregate or isolate inhabitants, and/or</li> <li>Prevent, or conditionally permit, access to areas.</li> </ul> <p>The section says that such an order must be published in the Gazette as soon as practicable after it is made, but that failure to do so does not invalidate the order.</p> <p>Similar legislation applies in other states and territories.</p> <p>Section 10 of the Public Health Act provides that a person who, without reasonable excuse, fails to comply with such a direction faces a maximum penalty of 6 months in prison and/or a fine of 100 penalty units, which is currently $11,000.</p> <p>Any continued failure to comply is punishable by a fine of 50 penalty units, or $5,500, for each day the offence continues.</p> <p>The Act also empowers ‘authorised persons’, including police officers, to issue infringement notices to those suspected of<span> </span>failing to comply with a public health order.</p> <p><strong>Current Challenges to the Public Health Act </strong></p> <p>Four separate legal challenges are currently before the Supreme Court of New South Wales which assert that the Public Health Act was never intended to, and does not, give the state’s health minister the power to breach the bodily integrity of individuals by making orders that, for all intents and purposes, mandate vaccines.</p> <p>Three of the cases are brought on behalf employees who have found themselves unable to fulfil their employment obligations as a result of deciding not to be injected with a COVID-19 vaccination. One of these is a construction worker (Al-Munir Kassam), another is a<span> </span>police officer (Belinda Kay Hocroft)<span> </span>and the third is a person who resides in a Local Government Area of concern (Natasha Henry).</p> <p>The fourth application is by unrepresented plaintiff, Sergey Naumenko.</p> <p>Supreme Court Justice Beech-Jones recently joined all four of the cases, and they are listed on 30 September 2021 for determination of an application by the NSW government to summarily dismiss them.</p> <p>During a recent directions hearing, the barrister for Al-Munir Kassam, Peter King, told the court his client’s case was about a “simple excess of power”.</p> <p><em>“It’s a question of the power of the minister to make the actual order under section seven of the [Public] Health Act,”<span> </span></em>the barrister submitted.</p> <p><em>“And we say read consistently, with the principle of legality set out by the High Court, it is not authorised.”</em></p> <p>The NSW government is strongly opposing the challenges, with its lead barrister, Jeremy Kirk SC, remarking of one of them:</p> <p><em>“There are so many problems with this case it’s difficult to know where to start.”</em></p> <p><em>“There is no named defendant, there is no articulated legal claim. Rather there are just sort of aspirational orders which to a significant extent are entirely misconceived such as, for example, proposed order two that the plaintiff and his immediate family be exempted from microchipping.”</em></p> <p>It is unclear whether these challenges will be decided in favour of the workers and, if so, whether the decisions will be narrowly constructed to apply to them only, or to a class of classes of workers, or whether they will contain broader declarations regarding the powers of the health minister generally.</p> <p>In any event, the unsuccessful party may apply for leave to appeal the Supreme Court decision to the High Court of Australia – which is the highest court in the land.</p> <p><strong>Challenges to COVID-19 Orders to Date</strong></p> <p>It should be noted that all the<span> </span>challenges made in the courts so far<span> </span>against COVID-19 orders and directions<span> </span>have been unsuccessful, with the judiciary finding that there are no constitutional protections, or other common law or embedded rights, which prohibit governments from passing such rules.</p> <p>For many,<span> </span>these cases highlight the need for constitutional protections<span> </span>and/or a national Bill or Charter of Rights in Australia.</p> <p>There have also been<span> </span>three challenges<span> </span>in the Fair Work Commission of New South Wales by workers claiming they were unfairly dismissed after refusing to obtain a COVID-19 vaccination. All of these have also been unsuccessful.</p> <p><strong>Current State of the Law</strong></p> <p>As a result, it can be said there is has been no judicial finding which expressly prevents the NSW state government from making public health orders which essentially discriminate between those who are vaccinated and those who are not – including those relating to entering specific categories of businesses.</p> <p>There is also<span> </span>no general prohibition against a person who owns or manages a business from refusing entry<span> </span>to a prospective patron.</p> <p>However, the above is subject to the outcome of the pending challenges, as well as exceptions contained in legislation which prohibit certain forms of discrimination in our state, and indeed nationally.</p> <p><strong>Anti-Discrimination Legislation</strong></p> <p>The Ant-Discrimination Act 1977 is the main piece of state legislation which prohibits certain forms of discrimination in New South Wales.</p> <p>The heads of discrimination that are unlawful under the Act are:</p> <ul> <li>Racial discrimination,</li> <li>Sexual harassment,</li> <li>Sex,</li> <li>Transgender status,</li> <li>Marital or domestic status,</li> <li>Disability,</li> <li>Responsibilities as a carer,</li> <li>Homosexuality,</li> <li>Compulsory retirement on grounds of age,</li> <li>HIV/AIDS vilification, and</li> <li>Age.</li> </ul> <p>These heads cover discrimination in a range of areas, including employment, education and the provision of goods and services, and the Act contains a range of exceptions which make it lawful to discriminate in certain circumstances.</p> <p><strong>Disability Discrimination under the Anti-Discrimination Act 1977</strong></p> <p>The most relevant proscribed head of discrimination for present purposes is disability.</p> <p>In that regard, there is an argument that a person for whom a COVID-19 vaccination is inappropriate for medical reasons would be discriminated against on grounds of disability if the person were to be refused entry to a premises on grounds of being unvaccinated.</p> <p>So, on its face, there is an argument that a person who is medically exempt from having a COVID-19 vaccine could not be refused the ‘freedoms’ afforded to those who are vaccinated, such as the ability to enter premises.</p> <p>However, this argument may be rebutted by<span> </span>section 49P of the Act, which is titled ‘Public Health’ and provides that:</p> <p><em>“Nothing in this Part renders unlawful discrimination against a person on the ground of </em><em>disability</em><em> if the </em><em>disability</em><em> concerned is an infectious disease and the discrimination is reasonably necessary to protect public health.”</em></p> <p>This exception gives rise to an argument that a person with a COVID-19 vaccination exemption could potentially be refused entry to a premises<span> </span><u>if</u><span> </span>this were considered necessary to protect the health of those within the premises.</p> <p>And here’s where it gets hairy.</p> <p><strong>Is Discrimination against those who are medically exempt lawful?</strong></p> <p>Health experts concede that those who receive COVID-19 vaccinations are able to both contract and spread the disease.</p> <p>Advocates of vaccination focus, instead, on findings that vaccinated persons are less likely than those who are unvaccinated to experience severe symptoms.</p> <p>That being the current state of the (ever-changing) advice, there is an argument that those who do not receive a COVID-19 vaccination are no more likely to pose a risk to others than those who are vaccinated.</p> <p>If that argument is accepted, it appears that businesses would fall foul of the law if they were to refuse entry to persons who hold COVID-19 vaccination exemptions, if the refusals were based on the persons not being vaccinated.</p> <p>A contrary, and perhaps tenuous, argument is that it is generally necessary for the population to receive COVID-19 vaccinations in order to reduce the impact on the public health system of those suffering from severe symptoms, and it may therefore be permissible for business owners to refuse entry to persons who are not vaccinated, despite their medical exemptions.</p> <p>But, again, this is a tenuous argument which, taken to its limits, could result in enabling conduct which undermines the objectives of the Act itself.</p> <p>Another potential contrary argument, for which the medical evidence is unclear, is that those who are not vaccinated are more likely to contract and/or spread the virus to others.</p> <p>But, again, the evidence for this is unclear. In fact, there is an argument that because those who are vaccinated are less likely to be symptomatic, or at least less visibly or severely symptomatic, they could be more likely to spread the virus as they are less likely to be aware they have it, and are therefore more likely to venture out.</p> <p>On the balance, the stronger argument appears to be that business owners who refuse entry to those with a medical exemption would be acting in contravention of the Act, if that refusal were on the grounds of being unvaccinated.</p> <p>It should be noted that the ventilation of these arguments inside a courtroom would require the adducing of medical evidence, and we are certainly not medical experts.</p> <p><strong>Disability Discrimination Act 1992</strong></p> <p>The main piece of legislation which prohibits discrimination on grounds of disability across Australia is the<span> </span>Disability Discrimination Act 1992<span> </span>(Cth).</p> <p>There is some overlap between this Act and the New South Wales legislation.</p> <p>Under the Commonwealth Act, it is unlawful to directly or indirectly discriminate against a person on grounds of disability in a broad-range of areas including<span> </span>access to premises, employment, goods, services, facilities and accommodation.</p> <p>Like the New South Wales Act, the Commonwealth legislation contains a public health-type exception. However, the exception in the latter is considerably more narrow.</p> <p>That exception is contained in<span> </span>section 48 of the Act. It is titled ‘Infectious Diseases’ and provides that:</p> <p><em>“</em><em>This Part does not render it unlawful for a person to discriminate against another person on the ground of the other person’s disability if:</em></p> <ul> <li><em>The person’s disability is an infectious disease; and</em></li> <li><em>The discrimination is reasonably necessary to protect public health.”</em></li> </ul> <p>The exception makes clear that discrimination may only be lawful if it is reasonably necessary to protect public health in circumstances where the person who is discriminated against suffers from an infectious disease.</p> <p>As it cannot be said that a person suffers from COVID-19 simply because he or she is not vaccinated for it, a business owner would be acting unlawfully if he or she were to refuse entry to a person with a COVID-19 vaccination exemption, if that refusal were on the grounds of not being vaccinated.</p> <p>Written by Ugur Nedim. <em>Republished with permission of<span> </span><a href="https://www.sydneycriminallawyers.com.au/blog/sydney-police-post-pictures-of-work-party-on-social-media/">Sydney Criminal Lawyers.</a></em></p>

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Two-thirds of staff at infected nursing home unvaccinated

<p>Five residents at an aged care home in Sydney's northwest have tested positive to COVID-19.</p> <p>SummitCare in Baulkam Hills sent a letter last night informing residents that those who tested positive were "resting comfortably and not displaying any symptoms".</p> <p>The residents have been transferred to Westmead Hospital as a "precautionary measure".</p> <p>The rise in infections among residents comes after two nurses had worked at the facility while unknowingly infectious.</p> <p>Despite 96 per cent of residents in the home being vaccinated, it was revealed that only one-third of staff members had received the COVID-19 jab.</p> <p>Summit Care's chief operating officer Michelle Sloane said that one of the infected staff members was unvaccinated and the vaccination status of the other worker was "unclear".</p> <p>The response caused an outcry from the daughter of one of the infected residents, who told the ABC she had assumed all the staff would have been vaccinated.</p> <p>"I think it's a disgrace. If I had known, that would've meant I would've made other decisions around my parents," she said.</p> <p>She then took to social media to blast reports from the facility that the residents are in “good spirits”, saying that is far from the truth.</p> <p>“What nonsense,” she wrote.</p> <p>“My father is terrified and is positive. Staff have been told to not talk to residents to minimise interaction. Please remember they are human and are frightened. Bring in social workers!”</p> <p>Speaking to Sunrise, Deputy Premier John Barilaro said he was "alarmed" to hear that two third of the staff at the facility were unvaccinated.</p> <p>"I'm like every other Australian and wondering why our frontline workers in aged care have not been vaccinated," he said.</p> <p>"It's something that is alarming and yes the Federal Government set a timeline of the middle of September for workers to be vaccinated.</p> <p>"I think that today what we have seen overnight and yesterday, it's a reminder that this class of work, these frontline workers, must have priority and I would encourage those aged care facilities to get out and trying to vaccinations up before September."</p>

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Nearly 4 million Australian adults are unvaccinated

<p><em><strong>C. Raina MacIntyre is a Professor of Infectious Diseases Epidemiology and the Head of the School of Public Health and Community Medicine at the University of New South Wales. Holly Seale and Rob Menzies are Senior Lecturers at UNSW.</strong></em></p> <p>Public attention has recently focused on <span style="text-decoration: underline;"><strong><a href="https://theconversation.com/banning-unvaccinated-kids-from-child-care-may-have-unforeseen-consequences-74437" target="_blank">improving vaccination rates</a></strong></span> in Australian infants and children. But actually the largest unvaccinated group of people recommended for immunisation are adults.</p> <p>Of 4.1 million unvaccinated Australians, <span style="text-decoration: underline;"><strong><a href="https://www.mja.com.au/journal/2017/206/6/vaccine-myopia-adult-vaccination-also-needs-attention" target="_blank">92% (3.8 million)</a></strong></span> are adults, and only a small fraction are children.</p> <p>Improving adult vaccination rates will reduce their <span style="text-decoration: underline;"><strong><a href="http://www.health.gov.au/internet/main/publishing.nsf/Content/cda-cdi40suppl.htm" target="_blank">risk of illness and death</a></strong></span>, and lower transmission of infection in the community.</p> <p><strong>Fewer adults than children are vaccinated</strong></p> <p>The government provides <span style="text-decoration: underline;"><strong><a href="http://www.immunise.health.gov.au/internet/immunise/publishing.nsf/Content/national-immunisation-program-schedule" target="_blank">free adult vaccines</a></strong></span> for influenza (flu), pneumococcal pneumonia and shingles for people over the aged of 65 years, and selected vaccines for those with underlying medical conditions, Indigenous people older than 15 years and pregnant women.</p> <p>However, <span style="text-decoration: underline;"><strong><a href="https://www.mja.com.au/journal/2017/206/6/vaccine-myopia-adult-vaccination-also-needs-attention" target="_blank">our latest research</a></strong></span> shows that only 51% of older Australian adults receive all government-funded vaccinations each year, compared to <strong><span style="text-decoration: underline;"><a href="https://www.mja.com.au/journal/2016/204/7/trends-and-patterns-vaccination-objection-australia-2002-2013" target="_blank">93% of Australian children</a></span></strong>, and 73% of Australian adolescents. Coverage in eligible high-risk groups is even lower: <span style="text-decoration: underline;"><strong><a href="http://www.aihw.gov.au/publication-detail/?id=10737418409" target="_blank">around 40% of people</a></strong></span> with medical or occupational risk factors receive their annual influenza vaccine, and <span style="text-decoration: underline;"><strong><a href="https://www.health.gov.au/internet/main/publishing.nsf/Content/cda-cdi32suppl.htm/%24FILE/cdi32suppl.pdf" target="_blank">only 13%</a></strong></span> of indigenous young adults with medical risk factors receive their pneumococcal vaccine. Migrants, refugees and travellers are also often at risk and under-vaccinated.</p> <p>Non-immunised children form a very small proportion of under-vaccinated Australians, yet public health efforts focus on coercive measures and financial penalties to <span style="text-decoration: underline;"><strong><a href="https://theconversation.com/want-to-boost-vaccination-dont-punish-parents-build-their-trust-40094" target="_blank">improve immunisation rates in infants</a></strong></span>. Unvaccinated adults have been ignored.</p> <p><strong>Adults suffer from and spread diseases</strong></p> <p>Adults contribute substantially to ongoing epidemics of vaccine-preventable diseases. Most cases of whooping cough, for example, <span style="text-decoration: underline;"><strong><a href="http://www.sciencedirect.com/science/article/pii/S0264410X12012984" target="_blank">occur in adults</a></strong></span>. <span style="text-decoration: underline;"><strong><a href="http://www.sciencedirect.com/science/article/pii/S0264410X16306065" target="_blank">About half</a></strong></span> of all cases of measles that occur in Australia are in those aged 19 years or over.</p> <p>In addition to poor adult vaccination rates contributing to the high cost of managing preventable infections, adults are often the starting point for epidemics because they have the highest rate of infections and so <span style="text-decoration: underline;"><strong><a href="http://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1001558" target="_blank">transmit infection</a></strong></span> more. Better vaccination rates in adults will reduce both cost and risk.</p> <p>Health workers can be a <span style="text-decoration: underline;"><strong><a href="http://www.sciencedirect.com/science/article/pii/S0264410X05012946" target="_blank">vector for infection</a></strong></span> and trigger outbreaks among vulnerable patients. The highest risk institutions are hospitals, childcare centres and aged care facilities.</p> <p>Health care and other institutions facilitate intense infection transmission and explosive outbreaks, where vulnerable patients, elderly residents or children may become ill and <span style="text-decoration: underline;"><strong><a href="https://link.springer.com/article/10.1007%2Fs12185-012-1139-1" target="_blank">even die</a></strong></span>. The purpose of staff vaccination in these settings is not only individual protection, but protection of patients or children.</p> <p>Staff have an ethical duty of care to reduce their own risk of infection and the risk they may pose to vulnerable others. Workers themselves may be at increasing risk, since hospitals and aged care facilities have an ageing workforce with associated <span style="text-decoration: underline;"><strong><a href="http://www.aihw.gov.au/chronic-diseases/" target="_blank">underlying chronic health conditions</a></strong></span>.</p> <p><strong>The case for mandatory flu vaccination</strong></p> <p>Uptake rates of staff influenza vaccination continue to be low. Rates of vaccination in day care centre workers are <span style="text-decoration: underline;"><strong><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3411446/" target="_blank">less than 50%</a></strong></span>, and variably low in <span style="text-decoration: underline;"><strong><a href="http://www.ajicjournal.org/article/S0196-6553(14)01143-2/abstract" target="_blank">aged care workers</a></strong></span> and <span style="text-decoration: underline;"><strong><a href="https://www.mja.com.au/journal/2011/195/6/seasonal-influenza-vaccination-australian-hospital-health-care-workers-review" target="_blank">health workers</a></strong></span>.</p> <p>When hospitals in the USA introduced mandatory influenza vaccination for health care staff, the <span style="text-decoration: underline;"><strong><a href="http://www.nejm.org/doi/full/10.1056/nejmp0910151#t=article" target="_blank">response was variable</a></strong></span>, with legal challenges in New York.</p> <p>There have been some great success stories lately from Melbourne, where hospitals have been able to get rates <span style="text-decoration: underline;"><strong><a href="http://bmcinfectdis.biomedcentral.com/articles/10.1186/s12879-015-0765-7" target="_blank">up to 80%</a></strong></span>. However, these hospitals have committed resources and personnel to implement intensive campaigns. Such vaccination campaigns based on voluntary or educational interventions will increase vaccination rates to 70-80%, but campaigns must be sustained and <span style="text-decoration: underline;"><strong><a href="http://bmchealthservres.biomedcentral.com/articles/10.1186/1472-6963-12-325" target="_blank">don’t achieve rates</a></strong></span> higher than this.</p> <p>The groundwork for the introduction of mandatory influenza vaccination has been laid by many states and territories in Australia. For example, NSW introduced legislation in 2007 that required health care workers to demonstrate evidence of protection against a range of vaccine preventable diseases. The policy change was surprisingly <span style="text-decoration: underline;"><strong><a href="http://www.sciencedirect.com/science/article/pii/S0264410X09004551" target="_blank">well received and accepted</a></strong></span> by hospital staff.</p> <p>Other states have similar recommendations for health care workers, but vary in the vaccines included and/or staff targeted. However, in all instances to date the influenza vaccine continues to be highly recommended but not required.</p> <p>Mandatory vaccination still remains a <span style="text-decoration: underline;"><strong><a href="http://www.sciencedirect.com/science/article/pii/S0264410X05000460" target="_blank">controversial strategy</a></strong></span> that pits staff autonomy against patient safety. Coercive measures <span style="text-decoration: underline;"><strong><a href="https://academic.oup.com/cid/article-lookup/doi/10.1086/650752" target="_blank">do work</a></strong></span>, but raise <span style="text-decoration: underline;"><strong><a href="https://theconversation.com/want-to-boost-vaccination-dont-punish-parents-build-their-trust-40094" target="_blank">ethical issues</a></strong></span>. Further, <span style="text-decoration: underline;"><strong><a href="http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0163586" target="_blank">some argue</a></strong></span> that the evidence of patient benefit for influenza is overstated.</p> <p>Poor uptake of adult vaccination is due to <span style="text-decoration: underline;"><strong><a href="http://file.scirp.org/pdf/Health_2013122515255121.pdf" target="_blank">many factors</a></strong></span>, including difficulty of access, lack of vaccination records, low perceived level of risk from vaccine-preventable diseases, lack of faith in vaccines for adults and value judgements about older people.</p> <p>A range of strategies can improve vaccination rates, including a <span style="text-decoration: underline;"><strong><a href="http://www.sciencedirect.com/science/article/pii/S0264410X16308520" target="_blank">whole of life immunisation register</a></strong></span>, which helps doctors keep track of their patient’s vaccine history, eliminating financial barriers to vaccination, recording indigenous status and medical risk factors of patients, recommending vaccination to patients and providing reminders.</p> <p>To improve immunisation in any occupational setting, it is important to commit resources, design health promotion programs, and provide culturally sensitive education on the risk of influenza and the overall benefits of vaccination.</p> <p>It is also important to remove barriers and use regulation. For example, hospitals have patient infection outcomes linked to accreditation, but not staff vaccination. There are no such requirements for child care or aged care facilities. We could consider linking vaccination rates of staff to regulation of these institutions. We also need to ensure there are no other barriers to getting staff vaccinated.</p> <p><em>Written by C. Raina MacIntyre, Holly Seale and Rob Menzies. First appeared on <a href="https://theconversation.com/" target="_blank"><strong><span style="text-decoration: underline;">The Conversation</span></strong></a>. <img width="1" height="1" src="https://counter.theconversation.edu.au/content/74991/count.gif?distributor=republish-lightbox-advanced" alt="The Conversation"/></em></p>

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